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General NPI Number Information
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NPI Number | 1356465868
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Entity Type | Individual
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Provider Name | MERCEDES B SAURBAUGH LMSW
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 7178 BUTTERNUT DR
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City | WEST OLIVE
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State | MI
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Zip | 49460-9734
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Country | US
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Telephone | 616-498-0958
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Fax | 616-344-1034
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Provider Business Mailing Address
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Address Line | 7178 BUTTERNUT DR
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City | WEST OLIVE
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State | MI
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Zip | 49460-9734
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Country | US
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Telephone | 616-498-0958
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801088733
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License Number State | MI
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